Department File Number : | M201574629 |
Claim Number : | 2011-31-01-0010 |
Date Submitted : | 5/14/2015 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
PHYSICIANS INDEMNITY RISK RETENTION GROUP, INC. | Primary | ||||
Insurer FEIN | Professional License Number | ||||
20-5245060 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | Jaclyn | S | Adler | ||
Street Address | |||||
9300 NW 14th Street | |||||
City | State | Zip | |||
Pembroke Pines | FL | 33024 | |||
Phone | Ext | Fax | E-Mail Address | ||
(954) 559 - 3131 | (954) 431 - 8388 | Jadjuster2@aol.com |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | ARTHUR | GRAVES | |||
Insurer Type | Street Address of Practice | ||||
Licensed | 910 Oakfield Drive Suite 102 | ||||
City | State | Zip Code | County | ||
Tampa | FL | 33606 | Hillsborough | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
PIR100383-1-10 | $500,000 | $1,500,000 | |||
Profession or Business | Other Profession or Business | ||||
Medical Doctor | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ME66147 | Internal Medicine - Minor Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
F | Hillsborough | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Hospital Inpatient Facility | |||||
Name of Institution | Code | ||||
BRANDON REGIONAL HOSPITAL | 100243 | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Critical Care Unit | |||||
Date of Occurrence | Date Reported to Insurer | ||||
9/2/2010 | 4/20/2011 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
Cancer | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
Extubation of the patient in the ICU | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
There was no misdiagnosis | |||||
Principal Injury Giving Rise To The Claim | |||||
Death | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
3/14/2012 | 1203878-J | ||||
County Suit Filed in | Date of Final Disposition | ||||
Hillsborough | 2/27/2015 | ||||
Other Defendants Involved in this Claim | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
2/27/2015 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $50,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $113,230 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $50,000 | ||||||||||||||||||||
Deductible | $0 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
None |
Updates | |
No updates found. |
This page is not displaying certain sensitive information.
Does Dr. ARTHUR GRAVES, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. ARTHUR GRAVES, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).